Ruyton Girls’ School Application for Admission 12 Selbourne Road Kew 3101 Victoria Australia Telephone +61 3 9819 2422 Facsimile: +61 3 9818 4790 [email protected] www.ruyton.vic.edu.au Details of Child please complete in block letters Family Name Given Name Date of Birth / / Country of Birth Is your child: an Australian citizen Yes No a permanent resident of Australia Yes No a full fee paying overseas student Yes No Yes No What school (if applicable) does your child currently attend? Victorian Student Number (VSN) What languages are spoken at home? Are you aware of any special needs your child may have? Please indicate below, by placing a tick in the appropriate boxes: English as a second language Support programmes in literacy or numeracy Application for entry into Year Level in 20 early learning centre only Please indicate which Kindergarten option you prefer OR Please indicate which Pre-Prep option you prefer 3 Days (Mon, Wed & Fri) KM 4 Days (Mon-Thurs) GIRLS W4 3 Days (Tues, Thurs & Fri) KT 4 Days (Mon-Thurs) CO-ED F4 5 Days K5 5 Days GIRLS W5 5 Days CO-ED F5 Details Of Parent father/guardian’s contact details mother/guardian’s contact details Title (Mr/Dr/other) Title (Ms/Mrs/Dr/other) Family Name Family Name Given Name/s Given Name/s Home Address Home Address Post Code Post Code Home Phone Home Phone Mobile Phone Mobile Phone Email Address Email Address Employer’s Name Employer’s Name Occupation Occupation Business Phone Business Phone Would we know you by prior name? Would we know you by prior name? The child lives with: Both parents Mother Father Other Payable with Application for Admission Form Collection Notice •A non-refundable Application Fee of $110.00 (incl. GST) payable with Application for Admission Form. Ruyton is committed to protecting your privacy and the confidentiality and security of personal information provided by you to us. •A non-refundable Application Fee of $165.00 (incl. GST) payable with Application for Admission Form for overseas students. Payable on Confirmation of Enrolment entrance fee A non-refundable fee of $400* is payable to The Ruyton Foundation. fees in advance Fees in Advance of $1,500* to be credited to the final fee statement when the student leaves the School. For overseas students Fees in Advance of $3,000* to be credited to the final fee statement when the student leaves the School. old ruytonians’ life membership A non-refundable fee of $300 (incl GST) is payable to the Old Ruytonians’ Association. *subject to change without notice Application Fee Enclosed is my payment of $ Payment Method (please tick) EFT (our preferred method of payment) Account Name Ruyton BSB 013 345 Account Number 3043 42595 Please ensure you include your Family surname in the description and mail [email protected] once payment has been made. The School collects personal information, including sensitive information about students and parents or guardians before and during the course of a student’s enrolment at the School. The primary purpose of collecting this information is to enable the School to provide schooling for your daughter/son. You have the right to access any such information held by Ruyton which relates to you or your daughter/son and to correct information which is inaccurate. Access and/or correction enquiries can be made in writing to the Principal, Ruyton Girls’ School. For more information on Ruyton’s Privacy Policy, visit our website at www.ruyton.vic.edu.au. Declaration My signature below indicates that I have read and noted the Fees and Regulations for Enrolment stated in the Business Notice and agree to abide by these and any regulations in force at the School. I agree to pay promptly all fees and other money due to the School in respect of the child enrolled. If my child is transferring from another school I authorise the School to obtain from that school such credit or other information that may be required. I certify that the information given herein by me is true and correct. I enclose a non-refundable Application Fee and attach a photocopy of my child’s birth certificate. This application requires the signature of both parents. If both signatures are not appended, the circumstances should be indicated. If parents are divorced or separated the signature(s) of the parent(s) responsible for payment of fees is/are required. Credit Card Visa/Mastercard only Father’s signature Credit Card details Date Card No. / Expiry Date / Card Holder Name: Signature: Date: / / / / Mother’s signature Date / / Guardian’s signature Date / / School Connections Other Information If applicable please complete the appropriate sections below. Please tick appropriate box/es below. Name of sibling/s What influenced your decision to enrol at Ruyton? 1. Previously attended Ruyton Current student Enrolled Not enrolled 2. Strong Influence Location Character development Family connection with school Previously attended Ruyton Open entry policy Current student School’s reputation Enrolled Sports programme Not enrolled Single sex school Maiden Name Final Year and House Other family members who have attended Ruyton No Influence Academic excellence If mother/guardian attended Ruyton, please provide the following information: Moderate Influence Staff quality Subject diversity/choice Co-ordinate programme with Trinity Grammar School Other – please specify Maiden Name Final Year and House Please Return Please rank the five most useful sources below that assisted you learning about Ruyton (with one ‘1’ being the most useful) 1. This completed Application for Admission form 2.A photocopy of the birth certificate – to be retained by the School School website Melbourne’s Child Online Word of mouth Other – please specify Alumni connection 3.The non-refundable Application Fee made payable to Ruyton Girls’ School Leader (i.e. Progress Leader) Open Morning And forward to: Mrs Nadine Hibbert – Registrar Ruyton Girls’ School, 12 Selbourne Road, KEW VIC 3101. Email: [email protected] Ruyton Girls’ School is a registered provider on the Commonwealth Register of institutions and Courses for Overseas Students (CRICOS) Provider Number 00336J The Weekly Review Attended a Ruyton event Outdoor billboards/signage OFFICE USE ONLY Fee REC.NO. Administration $ Entrance $ FIA $ Codes Student Father Mother Guardian DATE RECEIVED